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Abstract
Objective: The All-On-Four technique is an oral rehabilitation method that uses four
implants strategically placed in both arches to support a fixed total prosthesis and a
removable partial prosthesis. It is an effective solution for patients with total edentulism
or significant bone loss, as it does not require the use of a graft before surgery and can
be used for patients with atrophic maxillae, for example. With planning and diagnosis
based on a detailed clinical evaluation along with complementary exams, the protocol
offers rapid, aesthetic and functional rehabilitation, allowing immediate loading
immediately after surgery or three days later. This article aims to present the main
points in the literature on the technique, from its definition to maintenance, with
emphasis on pre- and post-operative care and its biomechanics to restore the patient's
masticatory function.
References
Liaw, K., Delfini, R. H., & Abrahams, J. J. (2015).Seminars in Ultrasound, CT and MRI, 36(5), 427-433."Dental implant complications."
Al-Johany, S., Al Amri, M. D., Alsaeed, S., & Alalola, B. (2017).
"Dental Implant Macrodesign Features: A Narrative Review." Journal of Clinical Medicine Research,9(12), 1006-1012.
Miyasawa, M., Fukuda, K., Kato, Y., et al. (2022)."Clinical outcomes of the All-on-4 treatment concept: A systematic review and meta-analysis." Journal of Prosthodontic Research, 66(2), 179-190.
Maló, P., de Araújo Nobre, M., Lopes, A., & Francischone, C. (2011). "The All-on-4 treatment concept for completely edentulous maxillae: A clinical report on the medium (3 years) and long-term (5 years) outcomes." Clinical Implant Dentistry and Related Research.
Pellizzer, E. P., & Dal Paz, C. R. (2023). "All-on-Four: indications and clinical considerations." Brazilian Journal of Oral Sciences.
Al-Johany, S., Al Amri, M. D., Alsaeed, S., & Alalola, B. (2017). "Dental Implant Macrodesign Features: A Narrative Review." Journal of Clinical Medicine Research.
Liaw, K., Delfini, R. H., & Abrahams, J. J. (2015). "Dental implant complications." Seminars in Ultrasound, CT and MRI.
Patel, N., Boyd, M., & Kim, D. G. (2020). "Cone beam computed tomography in implant dentistry: Recommendations for clinical practice." Journal of the American Dental Association.
Bidra, A. S., Daubert, D. M., Garcia, L. T., Kosinski, T. F., Nenn, C. A., Olsen, J. A., ... & Wang, H. L. (2019)."Clinical practice guidelines for recall and maintenance of patients with tooth-borne and implant-borne dental restorations." Journal of Prosthodontics.
Maló, P., de Araújo Nobre, M., Lopes, A., & Ferro, A. (2019). "The All-on-4® treatment concept: Long-term clinical success up to 10 years." Implant Dentistry.
Lima, T. F. et al. (2021). O uso da análise fotográfica e digital no planejamento estético em implantodontia. Revista Brasileira de Odontologia Digital, 6(1), 48-53.
Machado, A. L. et al. (2022). Materiais para prótese total implantossuportada: uma revisão clínica. Revista de Odontologia da UFPR, 11(2), 67-73.
Rezende, C. A. et al. (2023). Avaliação sistêmica e local em pacientes candidatos ao protocolo All-on-Four. Arquivos Brasileiros de Odontologia, 79(3), 99-105.
Rodrigues, D. G. et al. (2020). Importância da tomografia computadorizada no planejamento de implantes dentários. Revista Odonto Ciência, 35(1), 27-33.
Silva, V. C. et al. (2022). Importância da abordagem interdisciplinar no tratamento reabilitador com protocolo All-on-Four. Revista Clínica de Odontologia, 15(2), 92-98.
Maló, P., Rangert, B., & Nobre, M. (2003)."All-on-Four Immediate-Function Concept withBrånemark System Implants for Completely Edentulous Mandibles: A RetrospectiveClinical Study." Clinical Implant Dentistry and Related Research, 5(Suppl 1), 2–9.
Silva, G. C. da et al. (2010)."Estudo biomecânico de prótese tipo protocolo com diferentes extensões de cantilever: análise de tensões através do método de elementos finitos." Revista de Odontologia da UNESP, 39(5), 259–263.
Ozan, O., & Kurtulmuş-Yılmaz, S. (2018)."Biomechanical Comparison of Different Implant Inclinations and Cantilever Lengths in All-on-4 Treatment Concept by Finite Element Analysis." International Journal of Oral & Maxillofacial Implants, 33(1), 64–71.
Bevilacqua, M., et al. (2008)."Biomechanical Reliability of All-on-Four Implants for Prosthetic Rehabilitation of the Edentulous Mandible: A Finite Element Analysis." The Journal of the American Dental Association, 139(4), 489–496.
Liu, Y., et al. (2022)."Biomechanical Comparison of Asymmetric Implant Configurations for All-on-Four Treatment Using 3D Finite Element Analysis." Journal of Prosthodontics,31(6), 533–540.
Gomes, J. M., et al. (2015)."Effect of Implant Angulation on Stress Distribution in All-on-4 System with Different Framework Materials: A 3D Finite Element Study." The International Journal of Oral & Maxillofacial Implants, 30(5), 1123–1129.
Misch, C. E. (2015)."Dental Implant Prosthetics" (2nd ed.).Mosby Elsevier.
Livro referência em implantodontia, que aborda planejamento, diagnóstico e tipos de osso (classificação de Lekholm e Zarb).
Misch, C. E., & Resnik, R. R. (2017)."Contemporary Implant Dentistry" (4th ed.).Mosby Elsevier
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Copyright (c) 2025 Yasmin Cristina de Souza Freitas , Débora Lopes, Sophia Lins Ramos, William Wallace Martins , Vitória Souza Rocha , Luiza Gurjão , Mateus Almeida, Yasmim Maia Magalhães , Marvin Gonçalves Duarte, Eudoro Filho Marques
